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<html lang="en">
<head>
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</head>
<body class="view-container">
<div class="header bar-positive">
    <a href="" class="left"><img src="../../../../../../../../bohoon.cn/bohoon-main/src/main/resources/static/assets/images/blockr.png"/></a>
    <h1>增值税发票</h1>
    <a href="" class="right"><img src="../../../../../../../../bohoon.cn/bohoon-main/src/main/resources/static/assets/images/more.png"/></a>
</div>
<div class="contanen">
    <div class="weui-cells weui-cells_form">
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">订单号</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="text" placeholder="DD00000000001">
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">开票状态</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="text" placeholder="已申请/已开票">
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label for="" class="weui-label">申请时间</label></div>
            <div class="weui-cell__bd">
                <input type="text" id="on-data" placeholder="2018-05-21 14:00"/>
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">发票类型</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="text" placeholder="普通发票" disabled>
            </div>
        </div>
    </div>
        <div class="weui-cells weui-cells_form">
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">会员</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="text" placeholder="70517607">
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">所属企业</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="text" placeholder="武汉博宏网络工程有限公司">
            </div>
        </div>
    </div>
        <div class="weui-cells weui-cells_form">
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">开票人</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="text" placeholder="张三">
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">开票金额</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="number" placeholder="43.30">
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">发票抬头</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="text" placeholder="武汉博宏网络工程有限公司">
            </div>
        </div>
            <div class="weui-cell">
            <div class="weui-cell__hd"><label for="" class="weui-label">信用代码</label></div>
            <div class="weui-cell__bd">
                <input type="text"  placeholder="96526765166574567"/>
            </div>
        </div>
    </div>
    <div class="weui-cells weui-cells_form">
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">纳税人类型</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="text" placeholder="纳税人类型">
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">税务登记号</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="number" placeholder="89646532">
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">发票抬头</label></div>
            <div class="weui-cell__bd">
                <input class="weui-input" type="text" placeholder="中国工商银行">
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label for="" class="weui-label">银行账户</label></div>
            <div class="weui-cell__bd">
                <input type="text"  placeholder="96526765166574567"/>
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label for="" class="weui-label">营业电话</label></div>
            <div class="weui-cell__bd">
                <input type="text"  placeholder="8964532"/>
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">营业地址</label></div>
            <div class="weui-cell__bd">
                <input type="text"  placeholder="湖北省武汉市江夏区XX01"/>
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label for="" class="weui-label">开票时间</label></div>
            <div class="weui-cell__bd">
                <input type="text" id="on-data1" placeholder="2018-05-21 14:00"/>
            </div>
        </div>
    </div>
    <div class="uploader">
    <div class="weui-cells weui-cells_form">
        <div class="weui-cell">
            <div class="weui-cell__hd"><label for="" class="weui-label">三证合一扫描件</label></div>
            <div class="weui-cell__bd">
                <div class="weui-uploader">
                    <div class="weui-uploader__bd">
                        <!--<ul class="weui-uploader__files" id="uploaderFiles">-->
                            <!--<li class="weui-uploader__file" style="background-image:url(./images/pic_160.png)"></li>-->
                        <!--</ul>-->
                        <div class="weui-uploader__input-box">
                            <input id="uploaderInput" class="weui-uploader__input" type="file" accept="image/*" multiple="1">
                        </div>
                    </div>
                </div>
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label for="" class="weui-label">纳税人资格认证</label></div>
            <div class="weui-cell__bd">
                <div class="weui-uploader">
                    <div class="weui-uploader__bd">
                        <!--<ul class="weui-uploader__files" id="uploaderFiles">-->
                            <!--<li class="weui-uploader__file" style="background-image:url(./images/pic_160.png)"></li>-->
                        <!--</ul>-->
                        <div class="weui-uploader__input-box">
                            <input id="uploaderInput" class="weui-uploader__input" type="file" accept="image/*" multiple="">
                        </div>
                    </div>
                </div>
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label for="" class="weui-label">其他文件</label></div>
            <div class="weui-cell__bd">
                <div class="weui-uploader">
                    <div class="weui-uploader__bd">
                        <!--<ul class="weui-uploader__files" id="uploaderFiles">-->
                            <!--<li class="weui-uploader__file" style="background-image:url(./images/pic_160.png)"></li>-->
                        <!--</ul>-->
                        <div class="weui-uploader__input-box">
                            <input id="uploaderInput" class="weui-uploader__input" type="file" accept="image/*" multiple="">
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    </div>
    <div class="weui-cells weui-cells_form textar">
        <div class="weui-cell">
        <div class="weui-cell__hd" align="left" valign="top"><label class="weui-label">备注信息</label></div>
        <div class="weui-cell__bd">
            <textarea class="weui-textarea" placeholder="请输入备注信息20-60个字" rows="3" maxlength="60"></textarea>
            <!--<div class="weui-textarea-counter"><span>0</span>/60</div>-->
        </div>
        </div>
    </div>
    <div class="check">
        <button class="no-button">提交</button>
    </div>
</div>
</body>
<script>
    $("#on-data").datetimePicker();
    $("#on-data1").datetimePicker();
</script>
</html>